Drivers of zoonotic disease risk in the Indian subcontinent: A scoping review.

Drivers of zoonotic disease risk in the Indian subcontinent: A scoping review.
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DOI:
10.1016/j.onehlt.2021.100310
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发表时间:
2021-12
期刊:
One health (Amsterdam, Netherlands)
影响因子:
--
通讯作者:
Howard N
Howard N
中科院分区:
其他
文献类型:
--
作者:
Durrance-Bagale A;Rudge JW;Singh NB;Belmain SR;Howard N

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关于印度次大陆人畜共患病风险的潜在人为驱动因素的文献很少。我们进行了一次范围审查,以确定2000-2020年出版的主要来源,以澄清现有的研究以及未来的研究应该集中在哪些领域。我们按疾病主题总结了研究结果。在纳入的80个来源中,78个(98%)是原始研究文章,2个是会议摘要。研究设计和方法并不总是描述得很清楚,但74项(93%)是定量的(包括一项随机试验),5项(6%)是混合方法,1项是定性的。大多数来源报告的研究来自印度(39%)或孟加拉国(31%),其次是巴基斯坦(9%),尼泊尔(9%),不丹和斯里兰卡(各6%)。就主题而言,大多数人关注狂犬病(18人; 23%)、尼帕病毒(16人; 20%)或钩端螺旋体病(11人; 14%),而12人(15%)不关注疾病,而是关注社区知识。即使有疫苗接种计划,人们通常也不会寻求狂犬病暴露后预防措施,并且他们知道狂犬病是致命的,而是经常依赖传统药物。同样,人们没有采取预防措施,以保护自己免受钩端螺旋体感染,即使他们知道与水稻种植的联系。尼帕病毒与人类居住地附近蝙蝠的存在有关。缺乏关于疾病、传播方式和预防的官方信息,或在朋友、亲戚和邻居之间非正式地分享。行为不符合疾病知识。本综述确定了可能导致印度次大陆人畜共患病风险的各种人类行为。仅仅增加社区的知识和认识不可能足以成功地改变这些行为。利用跨学科和参与性方法开展进一步研究,将增进对风险和风险观念的了解,从而有助于共同设计针对具体情况的相关干预措施。狂犬病、尼帕病毒和钩端螺旋体病是当前研究的重点行为与疾病意识和理解不相对应我们应侧重于与社区合作,设计针对具体情况的干预措施
Literature on potential anthropogenic drivers of zoonotic disease risk in the Indian subcontinent is sparse. We conducted a scoping review to identify primary sources, published 2000–2020, to clarify what research exists and on which areas future research should focus. We summarised findings thematically by disease. Of 80 sources included, 78 (98%) were original research articles and two were conference abstracts. Study designs and methods were not always clearly described, but 74 (93%) were quantitative (including one randomised trial), five (6%) were mixed-methods, and one was qualitative. Most sources reported research from India (39%) or Bangladesh (31%), followed by Pakistan (9%), Nepal (9%), Bhutan and Sri Lanka (6% each). Topically, most focused on rabies (18; 23%), Nipah virus (16; 20%) or leptospirosis (11; 14%), while 12 (15%) did not focus on a disease but instead on knowledge in communities. People generally did not seek post-exposure prophylaxis for rabies even when vaccination programmes were available and they understood that rabies was fatal, instead often relying on traditional medicines. Similarly, people did not take precautions to protect themselves from leptospirosis infection, even when they were aware of the link with rice cultivation. Nipah was correlated with presence of bats near human habitation. Official information on diseases, modes of transmission and prevention was lacking, or shared informally between friends, relatives, and neighbours. Behaviour did not correspond to disease knowledge. This review identifies various human behaviours which may drive zoonotic disease risk in the Indian subcontinent. Increasing community knowledge and awareness alone is unlikely to be sufficient to successfully change these behaviours. Further research, using interdisciplinary and participatory methods, would improve understanding of risks and risk perceptions and thus help in co-designing context-specific, relevant interventions. Rabies, Nipah virus and leptospirosis are the focus of current research Behaviour does not correspond to disease awareness and understanding We should focus on working with communities to design context-specific interventions
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